Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $4,447.00 / $11,576.00	Facility		$526.00	$4,447.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.08 / $150.56 / $200.38	Professional		$137.08	$150.56	$200.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $1,198.01 / $1,426.20	Facility		$323.00	$1,198.01	$1,426.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.68 / $224.51 / $352.70	Professional		$157.68	$224.51	$352.70
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $4,169.00 / $8,416.00 / $15,897.00	Facility		$4,169.00	$8,416.00	$15,897.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $124.59 / $135.08 / $237.59	Professional		$124.59	$135.08	$237.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.72 / $167.02 / $236.09	Professional		$115.72	$167.02	$236.09
United Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,611.00 / $8,105.00	Facility		$803.00	$3,611.00	$8,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $139.94 / $205.24 / $359.84	Professional		$139.94	$205.24	$359.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $139.91 / $139.91 / $139.91	Professional		$139.91	$139.91	$139.91